Summary
Overview
Work History
Education
Skills
Timeline
Generic

STEPHANIE HIGH

Mineola,TX

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

15
15
years of professional experience

Work History

TidemarkVA, Insurance Claims Specialist

10.2021 - Current
  • Obtaining referrals and pre-authorizations as required for Mental Health procedures
  • Checking eligibility and benefits verification for Mental Health treatments, and procedures
  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information
  • Worked in several different EHR’s and EMR’s preparing, reviewing, and transmitting claims, including electronic and paper processing
  • Posting insurance payments by electronic 835’s or manual EOB’s
  • This includes denial reasons, insurance adjustments, insurance allowable and patient portions
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Onboarding providers to insurance they are set up with all insurance payors for portals ERA’s, and EFT’s

Worker Scheduler

Insurance
02.2019 - 03.2021
  • Made daily phone calls to clients to make first point of contact and to schedule appointments
  • Verified address and details for the insurance claim
  • Entered information into computer program and excel spreadsheets for insurance adjuster
  • Mapped out daily appointments to insure adjuster’s time management was maximized and travel minimized.

Omni Interactions
01.2020 - 07.2020
  • Analysis of client’s needs and questions regarding their accounts through Rakuten
  • Maximized customer satisfactions
  • Interact with clients daily via email to help solve problems using Zendesk
  • Provide strategic advice to increase each clients ROI

Student

A&M Commerce
01.2017 - 12.2018
  • Took full time hours to acquire my Business Finance degree
  • Used time management skills to improve learning
  • Able to complete a full financial portfolio using Excel

Bookkeeper/Inventory Specialist

Overstock Enterprises
08.2013 - 04.2014
  • Over booking A/P and A/R
  • Supervised warehouse employees to control inventory
  • Other duties as assigned or self- identified
  • Eliminated discrepancies by expertly documenting expenses, monitoring income, and handling bank deposits
  • Analyzed financial data derived from multiple reporting systems to develop recommendations for operational and performance improvements
  • Completed bi-weekly payroll for company employees, including calculating taxes, vacation and sick time
  • Addressed internal supply problems head-on and developed creative solutions to prevent delays and missed targets

Administrative Assistant

Gilead Home Health
07.2012 - 08.2013


  • Provide clerical support which may include preparation of admission, orientation and new hire packets, filing and copying, facilitate all communication that includes: mail and phones
  • Maintained personnel files, prove computer support, and performs other duties as required
  • Composed internal memos and external correspondence for senior management and reviewed all documentation to eliminate errors
  • Identified and recommended changes to existing processes to improve accuracy, efficiency and responsiveness of customer service department
  • Verified patients Medicare, Medicaid, and private insurance benefits
  • Maintained Human Resource Files
  • Billed Medicare, Medicaid, and private insurance

HR/Payroll/Bookkeeper/Supervisor/Administrative Assistant

Omega Home Health
12.2008 - 06.2012
  • Assisted with hiring processes including recruiting and interviews
  • Verified patients Medicare, Medicaid, and private insurance benefits
  • Posting insurance payments by electronic 835’s or manual EOB’s
  • This includes denial reasons, insurance adjustments, insurance allowable and patient portions
  • Prepared cash tax forecasts for planning and estimated payments
  • Checked figures, postings and accounting documents for correct entry, mathematical accuracy and proper coding
  • Maintained daily bookkeeping reports and Human Resource information
  • Researched payroll errors and processed payments for federal and state taxes, social security, Medicare, and various employee deductions, annuity contributions and retirement plan withholdings
  • Introduced new accounting, financial and operational systems to maximize efficiency and recordkeeping accuracy
  • Reduced financial discrepancies, effectively reconciling bank accounts and organizing information into accounting software
  • Supervisor/Manager to all office staff

Education

BBA - Business Finance

A&M Commerce
Commerce, TX
12.2018

Associate of Applied Science - Commerce

Northeast Texas Community College
2007

Skills

  • Customer and client services
  • Insurance verification and billing
  • Data Entry
  • Typing (55 wpm)
  • Payroll Management
  • Recordkeeping strength
  • Simple Practice
  • TherapyNotes
  • Medical Coding
  • Zendesk
  • Professional telephone demeanor
  • CMS
  • Insurance portals
  • Human Resources
  • Microsoft Teams
  • Theranest
  • Practice Suite
  • Creative problem solving
  • Account management
  • HIPPA
  • Medical Records
  • Elation
  • Osmind
  • Availity
  • AdvancedMD
  • Excel
  • Bookkeeping
  • Slack
  • Report preparation
  • Complaint resolution
  • Google Suite
  • MS Office proficiency
  • Data Management
  • Records Management Systems
  • CRM Software

Timeline

TidemarkVA, Insurance Claims Specialist

10.2021 - Current

Omni Interactions
01.2020 - 07.2020

Worker Scheduler

Insurance
02.2019 - 03.2021

Student

A&M Commerce
01.2017 - 12.2018

Bookkeeper/Inventory Specialist

Overstock Enterprises
08.2013 - 04.2014

Administrative Assistant

Gilead Home Health
07.2012 - 08.2013

HR/Payroll/Bookkeeper/Supervisor/Administrative Assistant

Omega Home Health
12.2008 - 06.2012

BBA - Business Finance

A&M Commerce

Associate of Applied Science - Commerce

Northeast Texas Community College

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